JIWON SEO (NPI# 1417586843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417586843 |
| Entity Type | Individual |
| Full Name | JIWON SEO |
| Practice Address |
1155 W Henderson Ave Porterville CA 93257-1452 |
| Practice Telephone | 5597843317 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 82190 | CA | Pharmacy Service Providers |
| Street Address |
1155 W HENDERSON AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538101357 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1155 W Henderson Ave, Porterville, CA 93257-1452 | 2006-06-13 |
| 1306409123 | Yeun Soo Kim | Pharmacist | 1155 W Henderson Ave, Porterville, CA 93257-1452 | 2019-04-17 |
| 1174089460 | Richy John Richards | Pharmacist | 1155 W Henderson Ave, Porterville, CA 93257-1452 | 2019-02-12 |
| 1891269767 | Shwe Yamin Oo | Pharmacist | 1155 W Henderson Ave, Porterville, CA 93257-1452 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548529506 | Jefmar Daniel Dickey | Pharmacist | 842 E Poplar Ave, Porterville, CA 93257-5540 | 2012-05-11 |
| 1780974071 | Scott Tuttle | Pharmacist | 66 W Morton Ave, Porterville, CA 93257-2331 | 2011-04-08 |
| 1124179478 | T & C Drug Inc | Pharmacist | 1326 W Olive Ave, Porterville, CA 93257-3034 | 2007-01-15 |
| 1295890978 | Seven 0-2 Pharmacy | Pharmacist | 406 W Putnam Ave, Porterville, CA 93257-3321 | 2006-12-24 |
| 1225013147 | Betty Martin | Pharmacist | 900 W Henderson Ave, Porterville, CA 93257-1704 | 2005-12-13 |
| 1477551018 | Pankaj R Patel | Pharmacist | 691 N Kensington Way, Porterville, CA 93257-6248 | 2005-07-08 |
| 1972110625 | Tien Quynh Tonnu | Pharmacist | 900 W Henderson Ave, Porterville, CA 93257-1704 | 2020-09-27 |
| 1548800188 | Giovanni Radhamez Gonzalez Jr. | Pharmacist | 1363 W Henderson Ave, Porterville, CA 93257-1456 | 2020-01-12 |
| 1619517240 | Alba Hernandez Gaona | Pharmacist | 416 W Olive Ave, Porterville, CA 93257-3332 | 2020-01-11 |
| 1225678048 | Kanishk Dugar | Pharmacist | 53 E Olive Ave, Porterville, CA 93257-4827 | 2020-01-09 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.